Provider Demographics
NPI:1538120431
Name:DYMON, WILLIAM D (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
Last Name:DYMON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:11545-A NUCKOLS ROAD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059
Mailing Address - Country:US
Mailing Address - Phone:804-673-8061
Mailing Address - Fax:804-673-5644
Practice Address - Street 1:130 TOWNE CENTER WEST BOULEVARD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-2323
Practice Address - Country:US
Practice Address - Phone:804-270-5028
Practice Address - Fax:804-747-3599
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010086251223S0112X
VA0438000148204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery